- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00856869
Clearance of NRL972 in Patients With Cirrhosis, Nonalcoholic Steatohepatitis (NASH) and in Healthy Volunteers
March 5, 2009 updated by: Norgine
A Study in Healthy Volunteers and Patients With Liver Cirrhosis and Non-Alcoholic Steatohepatitis (NASH) to Assess the Effects of Age, Gender, Chronic Liver Disease, and Prandial Effects on the Clearance of Cholyl-Lysyl-Fluorescein (NRL972) an an in-Vivo Marker of Liver Function in Man.
The study was conducted to describe and compare the plasma pharmacokinetics of NRL972 administered after a standard meal and while fasted in patients with hepatic cirrhosis (Child-Turcotte-Pugh [CTP] class A-C), NASH, young and elderly healthy males, and young and elderly healthy females, to assess the effects of liver dysfunction, gender, age and prandial intestinal hyperaemia on the clearance of NRL972.
In addition, the study was to provide information on the safety and tolerability of repeated intravenous doses of NRL972 in these populations.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Study Type
Interventional
Enrollment (Actual)
52
Phase
- Phase 2
- Phase 1
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
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Sofia, Bulgaria, 1431
- UMHAPT St. Ivan Rilski's University Hospital
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-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years to 75 years (Adult, Older Adult)
Accepts Healthy Volunteers
Yes
Genders Eligible for Study
All
Description
Inclusion Criteria:
General - all subjects
- Males or females (females of non-childbearing potential or of childbearing potential while taking medically appropriate contraception)
- Caucasian
- BMI: between 19 and 34 kg.m-2
- BW: between 45 and 110 kg
- willing and able to provide informed consent Healthy volunteers (group N)
- Age: 18 - 40 years (inclusive) e.g. > 60 years
- Assessed as healthy based on the pre study examination Hepatic cirrhosis
- Age: 18 - 75 years
- stable compensated liver cirrhosis (cryptogenic, posthepatic, alcoholic) with histo-logical or macroscopic (e.g. laparascopy, biopsy, ultrasound sonography or other adequate imaging techniques) confirmation Nonalcoholic steatohepatitis (NASH)
- Age: 18 - 75 years
- Diagnosis of NASH confirmed by liver biopsy
Exclusion Criteria:
General - all subjects
- Previous participation in the trial
- Participant in any other trial during the last 90 days
- Donation of blood during the last 60 days or a history of blood loss exceeding 450 mL within the last 3 months
- History of any clinically relevant allergy
- Uncontrolled diabetes mellitus or any further intolerability of the Galactose test
- Presence of acute or chronic infection
- Resting systolic blood pressure > 160 or < 90 mmHg, diastolic blood pressure > 95 or < 50 mmHg
- Clinically relevant ECG-abnormalities, prolonged QTc with > 450 msec in males and > 460 msec in females in particular
- Clinically relevant ECG-abnormalities that constitute a contraindication for the Lido-cain-MEG'-X-test
- Positive HIV test
- Positive alcohol or urine drug test on recruitment
- Daily use of > 30 gr alcohol
- Smoking more than 15 cigarettes/day or equivalent of other tobacco products
- Use of prohibited medication
- Suspicion or evidence that the subject is not trustworthy and reliable
Suspicion or evidence that the subject is not able to make a free consent or to under-stand the information in this regard
General - all females
- Positive pregnancy test
- Lactating
- Not using appropriate contraception in premenopausal women All healthy subjects
- Presence or history of any relevant comorbidity (list of past and present diseases will be reviewed by an expert panel)
- Presence of any relevant abnormality in the laboratory safety tests, especially low haemoglobin, increased liver enzymes, reduced serum creatinine (laboratory test abnormalities will be reviewed by an expert panel)
- Positive serology for HBsAg, anti HBc and anti HCV
History of alcohol and/or drug abuse.
Patients with hepatic disease
- Biliary liver cirrhosis
- Liver impairment due to space-occupying processes (e.g. carcinoma)
- State after liver transplantation or patient scheduled for liver transplantation
- Fluctuating or rapidly deteriorating hepatic function
- Significant bleeding diathesis
- Oesophageal bleeding within the last 8 weeks before study entry
- Ascites > 6 L on abdominal US
- Number Connection test: time to connect 25 consecutive numbers > 30 sec
- Presence or history of any relevant comorbidity other than hepatic disease (list of past and present diseases will be reviewed by an expert panel)
- Clinically relevant abnormal laboratory values other than those associated or sufficiently explained by the existing liver disease (laboratory test abnormalities will be reviewed by an expert panel)
- History of drug or alcohol abuse within 2 months prior to dosing
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Diagnostic
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: 1 YM
Healthy young males
|
Single 2 mg intravenous injection administered once after an overnight fast and once after a standard meal
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Experimental: 2 EM
Healthy elderly males
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Single 2 mg intravenous injection administered once after an overnight fast and once after a standard meal
|
Experimental: 3 YF
Healthy young females
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Single 2 mg intravenous injection administered once after an overnight fast and once after a standard meal
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Experimental: 4 EF
Healthy elderly females
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Single 2 mg intravenous injection administered once after an overnight fast and once after a standard meal
|
Experimental: 5 NASH
Patients with presumed NASH
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Single 2 mg intravenous injection administered once after an overnight fast and once after a standard meal
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Experimental: 6 CTP-A
Patients with hepatic cirrhosis CTP-class A
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Single 2 mg intravenous injection administered once after an overnight fast and once after a standard meal
|
Experimental: 7 CTP-BC
Patients with hepatic cirrhosis CTP-class B and C
|
Single 2 mg intravenous injection administered once after an overnight fast and once after a standard meal
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Clearance of NRL972 after a standard meal and while fasted in healthy volunteers, patients with NASH and patients with hepatic cirrhosis.
Time Frame: Up to 4 hours post administration of NRL972
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Up to 4 hours post administration of NRL972
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Adverse events and changes in physical findings from baseline
Time Frame: Up to 4 hours post-dosing
|
Up to 4 hours post-dosing
|
Effects of vital signs: blood pressure, pulse rate
Time Frame: Up to 4 hours post-dosing
|
Up to 4 hours post-dosing
|
Effects on electrocardiogram
Time Frame: Up to 4 hours post-dosing
|
Up to 4 hours post-dosing
|
Changes in haematology, clinical chemistry, urinalysis
Time Frame: Up to 4 hours post-dosing
|
Up to 4 hours post-dosing
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Zahariy Krastev, MD, St. Ivan Rilski's University Hospital
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
August 1, 2004
Primary Completion (Actual)
February 1, 2005
Study Completion (Actual)
April 1, 2005
Study Registration Dates
First Submitted
March 4, 2009
First Submitted That Met QC Criteria
March 5, 2009
First Posted (Estimate)
March 6, 2009
Study Record Updates
Last Update Posted (Estimate)
March 6, 2009
Last Update Submitted That Met QC Criteria
March 5, 2009
Last Verified
March 1, 2009
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- NRL972-02/2003(ACPS)
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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